TIMOTHY LONGAWA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025278

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Last Name

LONGAWA

Business Name

TIMOTHY LONGAWA

Original Issue Date

07/24/2020

Effective Date

07/24/2020

Expiration Date

09/30/2022

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022